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  Cytology, Cervix Specimen Type:
  also known as Pap Test, Liquid-Based Pap Test, Papanicolaou Smear Other

CYTOPATHOLOGY

Specimen requirements: N/A
Unit of measure: N/A
Ideal sample: N/A
Absolute minimum amount: N/A
Method of collection: Broom-type Collection device with detachable head or cytobrush/spatula with detachable head.
Transportation: N/A
Label instructions: The Fixative vial must be labeled with patient's name, medical record, and patient numbers.
Request test on form: Cytopathology ( 151-805 )
Order/entry screen(s):  N/A
Stat frequency: N/A
Stat turn around time: N/A
Routine frequency: Weekdays
Must be in by: N/A
Routine turn around time: 5 working days
For Hillcrest deliver to: Cytopathology : 2nd Floor, Cytology Laboratory,
  room 2-113
For Thornton deliver to: Thornton Laboratory : Processing Desk, 1st floor,
  Hospital, room 1-013
Scheduling requirements : N/A
Method: Broom-type collection device is recommended in all cases.  For patients without a cervix, a vaginal cuff specimen is recommended.  Warm water may be used to facilitate insertion of the speculum, lubricants are not recommended.  The position of the speculum should allow for complete visualization of the os and ectocervix.  Insert collection device into endocervical canal, rotate device five times in a clockwise direction, and drop detachable head into fixative vial.  Complete a Cytopathology requisition to include all pertinent clinical pertinent findings, including source and LMP or menstrual status, as well as providers PID number.  Label the fixative vial with the patient's name and medical record/patient numbers.  HPV sub-typing will be performed as a reflex test with a cytologic diagnosis of ASCUS or AGUS in patients 20 years or older or a diagnosis of LGSIL in a post-menopausal woman (or in the absence of clear history a woman aged 50 or older).  If HPV testing has been performed in the past 12 months, reflex HPV testing will not be performed.  Reflex policy based on guidelines from "Statement on Human Papillomavirus DNA Test Utilization", Caner Cytopathology (June 25, 2009).  Provider may specify on the requisition that a HPV test is to be performed regardless of diagnosis and/or patient's age or that no test is to be performed on the specimen regardless of diagnosis.
Special Instructions: N/A
  Results are available on a Chart Copy
CyberLAB abbreviation: N/A
CyberLAB code: N/A
Lab Processing Instructions: N/A